1. in a way that causes physical or emotional pain
2. to an extreme or distressing degree

Examples

• She twisted her ankle and walked painfully to the bench.
• The injection was painfully slow to take effect.
• He was painfully aware of his mistakes during the presentation.
• The movie was painfully boring and seemed to last forever.
• Her back injury made it painfully difficult to sit for long periods.
• The silence in the room was painfully awkward.
• The truth about his condition became painfully clear to his family.